Individual provider Active NPI

Janice Lee Tice, LICENSED MH COUNSELO

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1043550841
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
FLMHC#0000 441 Issued in FL
Practice address
219 E 5TH Ave
Tallahassee, FL 32303-6205
Phone
(850) 224-8809
NPI assigned
Feb 15, 2013
Last updated
Feb 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FLMHC#0000 441 FL Primary

Addresses

Primary practice location

219 E 5TH Ave
Tallahassee, FL 32303-6205

Mailing address

219 E 5TH Ave
Tallahassee, FL 32303-6205
Phone (850) 224-8809

Other identifiers 1

IdentifierTypeStateIssuer
BS/BC Z1294OtherFLBLUE BLUE SHIELD OF FLRIDA, INC.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
FLMHC#0000 441FLMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1043550841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E 5TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036205",
            "telephone_number": "850-224-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 5TH AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036205",
            "telephone_number": "850-224-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "JANICE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "LICENSED MH COUNSELO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "FLMHC#0000 441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE BLUE SHIELD OF FLRIDA, INC.",
            "identifier": "BS/BC Z1294",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.